EMDocs
MAY 15, 2024
Management includes rapid initiation of opioid and non-opioid agents to treat the pain associated with vaso-occlusive crisis, antimicrobial coverage, incentive spirometry, oxygen supplementation to maintain saturation > 95%, fluid resuscitation based on volume status, consideration for transfusion, and specialist consultation.
EMDocs
MAY 28, 2024
Blood transfusion Reduces the overall proportion of HbS. Simple blood transfusion should be considered early in the hypoxemic patient with advancement to red cell exchange transfusion if there are clinical features of severe pathology or evidence of progression despite initial simple transfusion.
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Mind The Bleep
JULY 23, 2023
Abnormal location of superior mesenteric vessels (Kimura K, 2000), abnormal location of duodenal-jejunal (DJ) flexure seen on upper GI contrast (should normally be sited to the left of the spine at the same level or higher than the pylorus) “Corckscrew” sign on contrast due to incomplete obstruction with some contrast passing through.
EMDocs
JUNE 3, 2023
Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009: trends and in-hospital mortality. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial. doi:10.1097/TA.0b013e3182ab0cde
Broome Docs
DECEMBER 22, 2024
Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury: The TRAIN Randomized Clinical Trial. As a follow up, we have the TRAIN trial, which is another open-label multicenter RCT comparing liberal to conservative transfusion strategies in brain injury. 2000 Aug;31(2):513-8. Epub 2000 Sep 14.
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